If you've ever broken a bone, you know how much pain it can cause. But if you've got a cast on that broken bone, often that pain goes away, or is not as severe when the limb is supported. This is a type of inflammatory tissue pain. In the inflammatory fluid, you'll find chemicals that irritate your nerve endings. It's kind of like hot pepper in soup--spicy and disruptive to the system. Muscle strain. When you strain a muscle, it sends a message to the brain that there is pain, and it causes swelling. Other muscles around the strained one get tighter to support the injury so that the body can heal itself. Inflammation. Autoimmune diseases such as rheumatoid arthritis and gout are characterized by pain, swelling, tenderness, and warmth in the joints. I am speaking here of the phenomenon of deprivation which I think probably we all have experienced, too. My clients have often expressed the feeling that they have been somehow deprived, but both they and I have thought that the attempt to resolve this feeling is like trying to work with something that isn't there; I'm finding that this repression is often so complete that the person can become aware of this hole only when it is partially filled up through a rich experience with another person. In client-centered therapy I think we often provide this kind of experience by our attitudes of warmth, acceptance, respect for the individual, and the like. I'm finding further that the intensified emotional relationship, which has been discussed above, has been very deeply effective in searching out the holes which do exist within the personality configuration, and bringing them to that level of awareness where they can be worked through. I think it is only at this point that the person can then become aware of all of the mechanisms, particularly the masochistic self-denial, which are erected as a result of these unsatisfied hungers. Another fairly recent learning which has had a good deal of meaning for me, is in connection with the so-called dependent client, who has often been a somewhat baffling problem in a client-centered approach. I've reached the conclusion that whenever I find myself calling a client dependent, I don't fully understand the nature of the feelings which are being expressed. I think I've most often labeled people as dependent when, in one way or another, they are asking me for the kind of response which, for some reason of my own, I am not willing to give. I am speaking now of some deep emotional need of the client which is expressed, rather than a series of specific and perhaps unreasonable requests.

Add these up and there are enough people to create an event! We parade our personas around in a persona promenade as part of a larger event, the grand masked dramas that many of us mistake for real life. Now imagine one person changing her lines and her place on the stage of the grand money drama. Picture the many adjustments and reactions that the rest of the actors on a stage would make to keep an old play going. For a while many actors would be confused, ad-libbing as they tried to get back on track, to a known place in the drama. This is what happens when you step out of your persona. Wonder where all of these money scripts come from? I thought so. Money Scripts Your particular money script is lifted from the larger drama of your family of origin. The fluid that surrounds the joint contains a chemical that causes irritation to the nerve and surrounding tissues. Organ pain. People often wonder if they can feel organ pain. Of course--organs have sensors on them as well. When you have a bladder infection, for instance, you may find that your lower back is achy. Cancer can also cause organ pain depending on which organ it's residing in. In my practice, I talk about red flags. When somebody describes the pain in the right shoulder and my exam shows me that their shoulder is perfectly fine, I may wonder about lung cancer. Or pelvic pain may be an indicator of prostate cancer. This is the beauty of the nociception alarm system in the body: It keeps us alert in our day-to-day activities that something might be going on to which we should pay attention.

I have come to the conclusion, too, that when the client begins making a number of specific requests, it is almost always a reflection of the lack which he feels in the relationship. My final point has to do with the growth force which we have relied upon so heavily as an explanatory principle. I've also heard recently such terms as regressive tendency, death instinct, and disruptive forces used to explain the case which seems to go downhill. My own thinking recently leads me to doubt the validity of these two concepts. I am tending more and more to look at the individual as an organism with a rather definite need structure and with almost unlimited potential, provided the environment gives the opportunity for the individual to become aware of his needs and his wealth of positive expressivity. If, on the other hand, these opportunities are sharply limited, I feel quite sure that the organism will adapt in a way that appears regressive or disruptive. This concept helps to explain why I feel that the therapeutic environment must contain a number of definite ingredients, rather than simply be free of other ingredients which we judge to be negative in terms of their effect upon growth. I am appending to this paper a statement given to me by a client which expresses in an appropriate emotional way much of what I've been struggling to report in a somewhat more systematic fashion. For me, this document has a great deal of meaning, and I'm happy to pass it on to you for whatever use it may be in understanding what I've tried to communicate. It is my very real hope that this paper will serve as a stimulus for communication at greater length on the part of all of us who are keenly interested in people and the processes through which they change and grow. Although this should come as no surprise, it does for most people. No one ever admits to this, but your great-grandfathers and great-grandmothers initialed your particular script when they birthed your grandparents. Your great-grandparents did not know that they were writing a script for you when they birthed your grandparents and started telling the old stories. Your grandparents did not know that they were writing and adding to your parents' scripts, and yours, when they gave birth to and named your parents and continued to pass on the old stories. Nevertheless, your script was written, signed, sealed, and delivered. Let's look at the script before your parents' scripts. Begin to notice where and how you are living out the story that people put into motion long ago. Your family gave you a role in its financial drama by virtue of your relationship; Now exit stage left for a costume change, gather up your Travel Log, and put on some music you love. Action Step

Depression, Anxiety, and Pain Remember, pain is ultimately a chemical reaction that takes place when your brain deciphers information coming in from your body. When pain is prolonged, it affects the chemical balance that helps your body stay calm, and prevents oversensitivity of the nervous system. When pain overstays its welcome, depression and anxiety are sometimes--and often likely--not far behind. When we are healthy, our brains are able to produce pain relievers that are more powerful than anything we can buy. But when ongoing pain causes the body to use up all of these pain-relieving chemicals, it depletes the body's ability to create the chemical soup necessary for soothing properties. Essentially there aren't enough of the right chemicals to soothe the body. Depression and anxiety can be the result of that chemical depletion because the body is now low on feel-good pain relievers. Thoughts and worries--these are nerve impulses. So, the more you worry, the more active your detrimental brain chemicals are on the body. It's hard to explain what has happened to me in the past months . One reason is that I find I cannot relive the experiences which were so important to me. I can look at them, but cannot completely relive them. I guess I lived them so completely and fully at the time that they simply became a part of me and now I cannot separate the parts from the whole. I would like to try, however, to give some of my present impressions of what happened. One of my first, strongest, and most persistent feelings was pain -- all through the months I was in pain; I remember saying once that I felt as if I was putting a knife into myself and turning it around and around so that my blood and all of my insides would gush forth. The pain began when I realized that I had to decide whether or not to begin therapy. I felt that you led me to the water, simply by showing real interest and concern, but I had to decide whether or not to drink. That was a mighty difficult decision -- in fact, possibly the most difficult I ever made.

Whom are you named after? Whom do you look like or take after? What are the old stories about the person who had your name? Who plays the villain in your family? How much do you resemble them? Who plays the hero? Who makes or has a lot of money? In what way do you take after this person? Who plays the victim and does without? Who loses money? When you are healthy, your brain is able to produce powerful pain relievers. Your family history and your environment also play a role in how well you make these chemicals. These conditions are ultimately considered chemical even though they are in essence, feelings, because they influence the chemical imbalance coursing through your body that affects your pain. Pain that's impacted by increased mental, emotional, and behavioral factors is called psychogenic pain. It's important to understand that even though this type of pain may arise from a nonphysical source, it's a very real pain and needs to be taken seriously. Examples of this are stomach pain, headache, and back pain. Perhaps you've noticed that when you have more stress, It's easy to understand how back pain can cause depression and anxiety; But the relationship between stomach pain and your mental health is much more complex. The digestive system, or gut system, is home to the microbiome.